Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1134677107 |
---|---|
Provider Name | Kelsey L Burnette |
First Address | Nashville, TN 37217-2679 |
Second Address | Mount Pleasant, SC 29464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2016 |
Last Update Date | 29/08/2018 |